| NPI | 1780853564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35.096176) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OH training license) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2019-08-13 |